| Doctor Name: | BRENDA THOMASON |
| NPI Number: | 1003012287 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | |
| Business Practice Address: | 3510 Magnolia Cv Monroe, LA - 712032372 |
| Business Phone Number: | 3183231100 |
| Business Fax Number: | 3183231161 |
| Mailing Address: | 3801 Deborah Dr, MONROE |
| State: | LA |
| Postal Code: | 712012111 |
| Phone Number: | 3183235688 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |